NPIMap

Organization Active NPI

Roper Hospital, Inc.

  • Clinical Medical Laboratory
  • Charleston, SC
National Provider Identifier
1932553484
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
42D0250434 Issued in SC
Legal business name
ROPER HOSPITAL, INC.
Practice address
316 Calhoun St
Charleston, SC 29401-1113
Phone
(843) 724-2025
Fax
(843) 724-2725
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Matthew Severance
Title
Coo
Phone
(843) 724-2099

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 42D0934931 SC
Clinical Medical Laboratory 291U00000X 42D0685422 SC
Clinical Medical Laboratory 291U00000X 42D0250434 SC Primary

Addresses

Primary practice location

316 Calhoun St
Charleston, SC 29401-1113

Mailing address

PO Box 751662
Charlotte, NC 28275-1662
Phone (843) 724-2025

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0250434Roper Hospital Laboratory316 Calhoun Street, Charleston, SC 29401AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chas Thoracic Cardiovas26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1932553484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751662",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751662",
            "telephone_number": "843-724-2025",
            "fax_number": "843-724-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2025",
            "fax_number": "843-724-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "SEVERANCE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-724-2099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D0934931",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D0685422",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D0250434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.